CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$125

about 1.0× the $126 Medicare rate · typically $98–$179

modeled estimate · not a bill or quote

What this hospital charges insurers

$137

About the fair price

about $12 over the fair price · 1.1× Medicare

Medicare pays $126 Fair price $125 This hospital $137 Cash price $313 Hospital's list price $522

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $137

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $125 (about 1.0× the $126 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $137, or about $313 in cash — about the fair price. Located in Plano, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$64 - $276	51%
Blue Cross Blue Shieldmajor	$64 - $785	51%
Aetnamajor	$177 - $366	140%
Cignamajor	$236 - $491	187%
Humanamajor	$126	100%
Amerigroup	$64 - $127	51%
Cigna HealthSpring	$123	97%
Molina	$69 - $127	55%
WellCare	$67 - $133	53%
+ 6 smaller / regional plans	$64 - $460

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 313), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Texas Health Presbyterian Hospital Plano is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Texas Health Presbyterian Hospital Plano

Compare: Screening mammogram (both breasts) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.